Individual
TIA WILLAT DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
254 RED CEDAR ST, BLUFFTON, SC 29910-8967
(843) 970-2899
Mailing address
1211 KING GEORGE BLVD APT 16, SAVANNAH, GA 31419-9505
(843) 610-8791
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
4888
SC
Other
Enumeration date
03/09/2021
Last updated
03/09/2021
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